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前列腺切除术后患者居家护理教学计划的有效性:一项随机对照临床试验。

Effectiveness of a home care teaching program for prostatectomized patients: a randomized controlled clinical trial.

作者信息

Mata Luciana Regina Ferreira da, Azevedo Cissa, Bernardes Mariana Ferreira Vaz Gontijo, Chianca Tânia Couto Machado, Pereira Maria da Graça, Carvalho Emilia Campos de

机构信息

Universidade Federal de Minas Gerais, Escola de Enfermagem, Belo Horizonte, MG, Brazil.

Universidade do Minho, Escola de Psicologia, Braga, Portugal.

出版信息

Rev Esc Enferm USP. 2019 Jan 31;53:e03421. doi: 10.1590/S1980-220X2018012503421.

Abstract

OBJECTIVE

To evaluate the effectiveness of a teaching program for hospital discharge of patients submitted to radical prostatectomy based on the self-efficacy construct of the Cognitive Social Theory.

METHOD

A controlled clinical trial carried out on a 2-month follow-up of 68 prostatectomized men randomized into intervention group (n = 34) and control (n = 34). The intervention group received routine guidance from the service plus the teaching program. The control group only received routine guidance from the service. The data collection instruments were: sociodemographic and clinical questionnaire, self-efficacy scale, hospital depression and anxiety scale, household care knowledge questionnaire, and an item on satisfaction with a score of 1 to 5.

RESULTS

There was a significant difference between the intragroups for satisfaction (p<0.001) and knowledge (p<0.001) of the pre-test to the post-test. In the intervention group, there were significant changes between the times for anxiety (p=0.011) and knowledge (p<0.001).

CONCLUSION

The teaching program with a combination of oral guidance, written instruction and telephone follow-up was effective in improving knowledge about home care and personal satisfaction. Brazilian Registry of Clinical Trials: RBR-5n95rm.

摘要

目的

基于认知社会理论的自我效能构建,评估一项针对接受根治性前列腺切除术患者出院的教学计划的有效性。

方法

对68名接受前列腺切除术的男性进行了一项为期2个月的对照临床试验,随机分为干预组(n = 34)和对照组(n = 34)。干预组接受服务常规指导外加教学计划。对照组仅接受服务常规指导。数据收集工具包括:社会人口统计学和临床问卷、自我效能量表、医院抑郁和焦虑量表、家庭护理知识问卷以及一项评分为1至5分的满意度项目。

结果

组内从测试前到测试后的满意度(p<0.001)和知识(p<0.001)存在显著差异。在干预组中,焦虑(p = 0.011)和知识(p<0.001)在不同时间之间有显著变化。

结论

结合口头指导、书面说明和电话随访的教学计划在提高家庭护理知识和个人满意度方面是有效的。巴西临床试验注册:RBR-5n95rm。

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